Magnetic resonance imaging of septic sacroiliitis

Sandrasegaran, Kumar; Saifuddin, Asif; Coral, A.; Butt, Wasi Haider

doi:10.1007/bf02412363

Cited by 52 publications

(25 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The onset of illness was during pregnancy in six cases (40%) 1,4,6,10,11 (including this case) within 3 weeks of delivery in six instances (40%) 3,5,[7][8][9] and within 3 weeks of abortion in three cases (20%) 7,11,12 . Among the postpartum cases, forceps outlet delivery was utilized in one case, 9 days prior to presentation 9 .…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Pregnancy‐Associated Pyogenic Sacroiliitis: Case Report and Review

Almoujahed

Khatib

Baran

2002

Infectious Diseases in Obstetrics and Gynecology

View full text Add to dashboard Cite

Background: Pyogenic sacroiliitis occurs infrequently during the peripartum period. Case: A case at our institution and a review of the literature were analyzed. A total of 15 cases were discovered. The onset of illness was during pregnancy (40% of cases), within 3 weeks postpartum (40%) or post-abortion (20%), and the presentation was usually acute (< 7 days in 67% of cases). Frequent manifestations included localized pain in the hips or buttock, sacroiliac joint tenderness and fever. Computed tomography or magnetic resonance imaging revealed joint involvement in all cases tested. Microbiology was confirmed by blood (40%) or joint aspirate (75%), and most patients were treated with antibiotics. Surgical intervention took place in five cases. Preterm labor was reported in only one case. All patients responded well to therapy without locomotive disability, and persistent pain was uncommon. Conclusion: Septic sacroiliitis should be considered in peripartum patients who present with fever and severe localized pain. Medical management is usually curative, and without an adverse effect on pregnancy.

show abstract

Section: Resultsmentioning

confidence: 99%

“…Laboratory tests revealed leukocytosis (14.7´10 6 white blood cells/l with 87.7% neutrophils), an elevated erythrocyte sedimentation rate (70 mm/hour) and asymptomatic E. coli bacteriuria. Magnetic resonance imaging (MRI) of the lumbar spine was unrevealing.…”

Section: Case Reportmentioning

confidence: 99%

Pregnancy‐Associated Pyogenic Sacroiliitis: Case Report and Review

Almoujahed

Khatib

Baran

2002

Infectious Diseases in Obstetrics and Gynecology

View full text Add to dashboard Cite

show abstract

“…As with CT, MRI may be particularly useful in aiding the diagnosis of joint infections that are difficult to access, such as sacroiliitis (145). MRI displays greater resolution for soft tissue abnormalities than CT or radiography and greater anatomical detail than radionuclide scans.…”

Section: Imaging Studiesmentioning

confidence: 99%

Acute Septic Arthritis

2002

View full text Add to dashboard Cite

Acute septic arthritis may develop as a result of hematogenous seeding, direct introduction, or extension from a contiguous focus of infection. The pathogenesis of acute septic arthritis is multifactorial and depends on the interaction of the host immune response and the adherence factors, toxins, and immunoavoidance strategies of the invading pathogen. Neisseria gonorrhoeae and Staphylococcus aureus are used in discussing the host-pathogen interaction in the pathogenesis of acute septic arthritis. While diagnosis rests on isolation of the bacterial species from synovial fluid samples, patient history, clinical presentation, laboratory findings, and imaging studies are also important. Acute nongonococcal septic arthritis is a medical emergency that can lead to significant morbidity and mortality. Therefore, prompt recognition, rapid and aggressive antimicrobial therapy, and surgical treatment are critical to ensuring a good prognosis. Even with prompt diagnosis and treatment, high mortality and morbidity rates still occur. In contrast, gonococcal arthritis is often successfully treated with antimicrobial therapy alone and demonstrates a very low rate of complications and an excellent prognosis for full return of normal joint function. In the case of prosthetic joint infections, the hardware must be eventually removed by a two-stage revision in order to cure the infection

show abstract

“…[7][8][9][10] Even without any pathognomonic radiologic sign of TB SI, nuclear resonance showing subchondral bone marrow edema and irregularity of articular surface on an asymmetric distribution confirms unilateral SI. [11,12] Asymmetric SI without any other findings suggestive of spondiloarthropathy should be promptly investigated for infectious disease. [13] The chronic presentation of asymmetric SI pointed the clinical team in front of two possible infections: brucellosis and TB.…”

Section: Discussionmentioning

confidence: 99%

Sacroiliitis preceding disseminated pelvic and peritoneal tuberculosis

Carvalho¹,

Nunes

Moura

et al. 2016

CRCP

View full text Add to dashboard Cite

Mycobacterium tuberculosis is the infectious agent responsible for tuberculosis (TB), one of the most common infectious causes of death in adults worldwide. It's protean manifestations may mimic different diseases in almost all clinical specialties. Herein we present a case of untreated tuberculosis sacroiliitis (SI) that evolved to disseminated pelvic disease mimicking ovarian carcinoma with peritoneal carcinomatosis. The patient complained of low back pain three years ago which was investigated with osseous scintigraphy and magnetic resonance imaging of the sacroiliac region and confirmed a left asymmetric SI. She was oriented to sporadically use of non-steroid anti-inflammatory drugs by the general physician who suspected spondiloarthropathy. Despite this, the symptoms got worse and progressed to abdominal pain, especially in hypogastric region, chronic diarrhea, severe night sweats, menstrual irregularity, weight loss, dyspareunia and undulant fever during the last year. She was admitted at this point and submitted to an exploratory video laparoscopic, the histopathology findings were strongly suggestive of disseminated pelvic TB showing granulomatous chronic inflammatory process with central caseous necrosis. The clinical team decided to initiate TB treatment, after 9 months of completed therapy, she was asymptomatic. The diagnosis of peritoneal tuberculosis usually is a challenge and invariably demands peritoneal biopsy. Mycobacterium tuberculosis can reach peritoneal tissue through the blood, lymphatic system and by contiguity. This case report presents an unusual form of pelvic and peritoneal disseminated tuberculosis preceded by a SI misdiagnosed as spondyloarthropathy.

show abstract

Magnetic resonance imaging of septic sacroiliitis

Cited by 52 publications

References 16 publications

Pregnancy‐Associated Pyogenic Sacroiliitis: Case Report and Review

Pregnancy‐Associated Pyogenic Sacroiliitis: Case Report and Review

Acute Septic Arthritis

Sacroiliitis preceding disseminated pelvic and peritoneal tuberculosis

Contact Info

Product

Resources

About